Progestin ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Progestin ni ubwoko bwa progesterone ikorwa mu buryo bwa gihanga, hormone umubiri wawe ukora mu buryo busanzwe. Yagenewe kwigana ingaruka za progesterone yawe isanzwe kandi ifasha mu kugenzura imikorere itandukanye y'ubuzima bw'imyororokere n'imisemburo. Abaganga bandikira progestin kubera ibibazo byinshi, kuva mu gihe cy'imihango idasanzwe kugeza ku kuvura imisemburo, bituma iba imwe mu miti ikoreshwa cyane y'imisemburo iboneka uyu munsi.

Progestin ni iki?

Progestin ni imisemburo ikorwa muri laboratori ikora nka progesterone mu mubiri wawe. Intanga ngore zawe zikora progesterone mu buryo busanzwe mu gice cya kabiri cy'imihango yawe no mu gihe cyo gutwita. Iyo umubiri wawe udakora progesterone ihagije cyangwa iyo ukeneye ubufasha bw'imisemburo yinyongera, progestin irashobora kwinjira kugirango yuzuze icyo cyuho.

Tekereza progestin nk'umusimbura ufasha ushobora gukora imirimo myinshi nkuko progesterone yawe isanzwe ikora. Iza mu buryo butandukanye n'imbaraga zitandukanye, bituma muganga wawe ahitamo uburyo bwiza bujyanye n'ibyo ukeneye. Uyu muti umaze imyaka myinshi ukoreshwa mu buryo butekanye kandi ukomeje kuba igikoresho cy'ingenzi mu kwita ku buzima bw'abagore.

Progestin ikoreshwa mu iki?

Progestin ivura ibibazo bitandukanye bijyanye n'uburinganire bw'imisemburo n'ubuzima bw'imyororokere. Muganga wawe ashobora kuyandika kugirango afashe mu kugenzura imihango yawe, gushyigikira gutwita, cyangwa gucunga ibimenyetso bya menopause.

Dore ibibazo nyamukuru progestin ishobora gufasha gukemura:

• Imihango idasanzwe cyangwa idahari
• Gusohoka kw'amaraso menshi mu gihe cy'imihango
• Urubavu rwa endometriosis n'ibimenyetso
• Ibimenyetso bya menopause iyo byegeranijwe na estrogen
• Gukumira gutwita (nk'uburyo bwo kuboneza urubyaro)
• Gushyigikira mu ntangiriro yo gutwita niba urwego rwa progesterone ruri hasi
• Gusohoka amaraso atari ibisanzwe mu rwungano rw'imyanya myibarukiro
• Ibimenyetso bya syndrome ya premenstrual (PMS)

Abagore bamwe kandi bakoresha progestin kugira ngo bafashe mu kuvura ububabare cyangwa kugabanya ibyago byo kurwara kanseri y'uruhu rw'umura iyo bakoresha imiti ya estrogen. Muganga wawe azagena uburwayi progestin ishobora kugufasha neza.

Progestin ikora ite?

Progestin ikora ihuza na progesterone receptors mu mubiri wawe, cyane cyane mu ngingo z'imyororokere. Ifatwa nk'imisemburo ikomeye ku rugero ruciriritse ishobora gutanga ingaruka zikomeye iyo ikoreshejwe neza.

Uyu muti ugira uruhare mu kuzenguruka kw'imihango yawe ukora ku gahu k'umura wawe, witwa endometrium. Mu gihe cy'imihango isanzwe, progesterone ifasha gutegura uru ruhu ku buryo bushoboka bwo gutwita. Niba gutwita bitabaye, urwego rwa progesterone ruragabanuka, rugatuma imihango yawe itangira.

Progestin irashobora kandi kugira ingaruka ku bindi bice by'umubiri wawe, harimo ubwonko bwawe, amabere, n'amagufa. Irashobora gufasha guhosha amarangamutima, kugabanya ubushyuhe bwinshi, no gukomeza ubwinshi bw'amagufa. Imbaraga n'ingaruka zihariye ziterwa n'ubwoko bwa progestin, urugero, n'uburyo uyifata.

Nkwiriye gufata progestin nte?

Uburyo ufata progestin buterwa n'ubwoko bw'umuti muganga wawe yaguhaye n'uburwayi bwihariye ufite. Urashobora kuyifata unywa nk'ibinini, kuyihabwa nk'urushinge, cyangwa kuyikoresha mu gitsina nk'igeli cyangwa suppository.

Kubijyanye na progestin yo kunywa, urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, nubwo kuyifata hamwe n'akantu gato gashobora gufasha kugabanya isesemi. Abagore benshi basanga bifasha gufata urugero rwabo mu gihe kimwe buri munsi kugira ngo bagumane urwego rwa hormone. Niba ufite isesemi, gerageza kuyifata hamwe n'ibiryo cyangwa mbere yo kuryama.

Progestin y'urushinge itangwa na muganga wawe, akenshi buri mezi make bitewe n'umuti wihariye. Progestin yo mu gitsina iza nk'amajeli, suppositories, cyangwa ibishishwa ushyira imbere mu gitsina cyawe, akenshi mbere yo kuryama kugira ngo ikore neza kandi byoroshye.

Buri gihe ukurikize amabwiriza yihariye ya muganga wawe yerekeye igihe n'urugero rwo gufata imiti. Ibyo bikorwa bisaba gukoreshwa buri munsi, mu gihe ibindi bisaba gukoreshwa progestin mu minsi imwe gusa y'ukwezi. Ntukigere uhindura urugero rwawe utabanje kuvugana n'umuganga wawe.

Nzamara Igihe Kingana Iki Ndafashe Progestin?

Igihe cyo kuvurwa na progestin gitandukana cyane bitewe n'impamvu uyifata. Abagore bamwe bayikeneye mu mezi make gusa, mu gihe abandi bashobora kuyikoresha mu myaka myinshi.

Kubijyanye n'imihango idasanzwe, ushobora gufata progestin mu mezi 3-6 kugira ngo ifashe gusubiza mu buryo busanzwe imihango yawe. Niba uyikoresha mu kurinda inda, ushobora gukomeza igihe cyose ushaka kwirinda gutwita. Abagore bayifata kubera ibimenyetso bya menopause akenshi bayikoresha mu myaka myinshi, nubwo abaganga basuzuma buri gihe niba ikikenewe.

Umuganga wawe azagenzura uko ubisobanukirwa kandi ahindure gahunda yo kuvura hakurikijwe ibyo. Bazatekereza ibintu nk'imyaka yawe, ubuzima bwawe muri rusange, n'uko umuti ukora neza. Kugenzura buri gihe bifasha kumenya neza ko ubona inyungu mu gihe ugabanya ibyago byose bishoboka.

Ni Iyihe Mbereko ya Progestin?

Abagore benshi bafata progestin neza, ariko nk'undi muti uwo ari wo wose, ushobora gutera ingaruka ziterwa n'imiti. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi umenye igihe wakwandikira umuganga wawe.

Ingaruka zisanzwe abagore benshi bahura nazo zirimo:

• Urubavu rwo mu gituza cyangwa kubyimba
• Guhinduka kw'amarangamutima cyangwa kwiheba gake
• Kubyimba cyangwa kongera ibiro
• Umutwe
• Kunanirwa cyangwa gusinzira
• Isesemi
• Guhinduka kw'irari ryo kurya
• Ibimeme cyangwa guhinduka kw'uruhu

Izi ngaruka zisanzwe akenshi zinoza uko umubiri wawe wimenyereza umuti, akenshi mu mezi make ya mbere yo kuvurwa.

Ingaruka zitavugwa cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga:

• Umutwe ukabije cyangwa migraine
• Urubavu rubabaza cyangwa guhumeka bigoranye
• Urubavu rubabaza cyane cyangwa kubyimba
• Impinduka mu mbono cyangwa ibibazo by'amaso
• Impinduka zikabije mu myumvire cyangwa agahinda gakabije
• Guhumeka bidasanzwe mu gitsina gore
• Ibimenyetso by'ibibazo by'umwijima (uruhu rwijimye, inkari z'umukara)

Nubwo bitajyenda bibaho, amaraso ashobora kuvuruga iyo umuntu akoresha progestin, cyane cyane ku bagore bafite ibindi bintu bibatera ibibazo. Vugana n'umuganga wawe ako kanya niba wumva ubabara cyane mu birenge, mu gituza, cyangwa mu mutwe, cyangwa niba ufite ikibazo cyo guhumeka.

Ninde utagomba gufata progestin?

Indwara zimwe na zimwe zituma progestin idatekanye cyangwa idakwiriye ku bagore bamwe. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugusaba uyu muti.

Ntabwo ugomba gufata progestin niba ufite:

• Ubu cyangwa amateka y'amaraso yavuruganye
• Indwara y'umwijima ikora cyangwa ibibyimba by'umwijima
• Kanseri y'ibere cyangwa izindi kanseri zifite aho zihurira n'imisemburo
• Guhumeka bidasobanutse mu gitsina gore
• Indwara ikomeye y'umutima
• Umutsi w'ubwonko cyangwa ibibazo bimwe na bimwe byo mu bwonko

Ibindi bibazo bisaba kwitonda cyane no gukurikiranwa neza niba ufata progestin. Umuganga wawe ashobora kuyikwandikira ariko azakureba neza niba ufite diyabete, umuvuduko ukabije w'amaraso, agahinda gakabije, cyangwa amateka y'amaraso yavuruganye mu muryango wawe.

Buri gihe bwire umuganga wawe ibijyanye n'indwara zose ufite, harimo n'ibibazo by'ubuzima bwo mu mutwe, mbere yo gutangira kuvurwa na progestin.

Amazina y'ubwoko bwa Progestin

Progestin iza mu mazina menshi atandukanye, buri rimwe rikaba rifite ubwoko bwihariye bwa progesterone ya sintetike. Ubwoko busanzwe bwo kunywa burimo Prometrium, Provera, na Aygestin.

Ubwoko buterwa inshinge burimo Depo-Provera na Depo-subQ Provera, bitanga imisemburo iramba. Uburyo bwo mu gitsina gore burimo Crinone gel na Endometrin suppositories, akenshi bikoreshwa mu kuvura ububasha bwo kubyara.

Izina ry'ubwoko akenshi ryerekana ubwoko bwihariye bwa progestin n'uburyo bwo gutanga imiti. Farumasi yawe ishobora gusimbuza ubwoko bwa rusange, burimo ibintu bikora kimwe ariko bishobora kugaragara ukundi cyangwa bikagira ibintu bitagira akamaro bitandukanye.

Uburyo bwo gusimbuza Progestin

Hariho ubundi buryo bwinshi bwo gusimbuza niba progestin itagukwiriye cyangwa idakora neza. Progesterone ya kamere, ikorwa mu bimera, itanga uburyo bwa bioidentical abagore bamwe bakunda.

Uburyo butagira hormone burimo imiti imwe yo kurwanya depression kubijyanye n'imitekerereze, imiti irwanya ububyimbirwe kubijyanye no kuva amaraso menshi, cyangwa impinduka z'imibereho nk'imicungire y'umunaniro no gukora imyitozo ngororamubiri buri gihe. Kubijyanye no kuboneza urubyaro, uburyo bwo kwirinda, ibikoresho bya copper IUD, cyangwa uburyo bwo kumenya ububyeyi bitanga uburyo butagira hormone.

Muganga wawe ashobora kandi gutanga ibitekerezo byo kuvura bifatanyije birimo estrogen, cyangwa agasaba gukemura ibibazo by'ibanze bigira ingaruka ku gipimo cya hormone yawe mu buryo bwa kamere.

Ese Progestin iruta Progesterone ya Kamere?

Progestin na progesterone ya kamere byombi bifite umwanya wabo mu kuvura indwara, kandi nta na kimwe kiruta ikindi. Guhitamo biterwa n'ibyo ukeneye byihariye, uko umubiri wawe witwara, n'icyo urimo kuvura.

Progesterone ya kamere isa neza n'iyo umubiri wawe ukora kandi ishobora gutera ingaruka nke ku bagore bamwe. Ariko, progestin akenshi itanga ingaruka ziteganywa kandi iza mu buryo bwinshi bwo gutanga imiti. Progestin kandi ikunda kuba ikomeye, ibyo bishobora kugirira akamaro ibibazo bimwe na bimwe.

Umuvuzi wawe azatekereza ibintu nk'amateka yawe y'ubuvuzi, ubukana bw'ibimenyetso byawe, n'ibyo ukunda ku giti cyawe mugihe cyo guhitamo hagati y'ibi byemezo.

Ibikunze kubazwa kuri Progestin

Ese Progestin irakwiriye abarwayi ba diyabete?

Progestin ishobora kugira ingaruka ku isukari yo mu maraso, ariko abagore benshi barwaye diyabete baracyashobora kuyikoresha neza bafashijwe n'ubugenzuzi bukwiye. Uyu muti ushobora gutuma isukari yo mu maraso yiyongera gato, cyane cyane iyo utangiye kuwufata.

Umuvuzi wawe ashobora gushaka gupima isukari yo mu maraso yawe kenshi iyo utangiye kuvurwa na progestin. Bashobora kandi guhindura imiti yawe ya diyabete niba bibaye ngombwa. Hamwe n'imicungire yitondewe, abagore benshi barwaye diyabete ifashwe neza bashobora gukoresha progestin nta ngorane zikomeye.

Nkwiriye gukora iki niba nifashishije progestin nyinshi ku buryo butunganye?

Gufata progestin nyinshi icyarimwe ntibishoboka ko byateza ingaruka zikomeye, ariko ugomba kuvugana n'umuvuzi wawe cyangwa ikigo gishinzwe kurwanya uburozi kugira ngo baguhe ubuyobozi. Ibimenyetso byo kurenza urugero bishobora kuba harimo isesemi ikabije, kuruka, gusinzira cyane, cyangwa kuva amaraso bidasanzwe.

Ntugerageze gusubiza inyuma urugero rurenze urugero uruka imiti izaza keretse umuganga wawe akubwiye by'umwihariko. Komeza gufata imiti yawe nkuko byategetswe kandi ukurikize amabwiriza y'umuvuzi wawe yerekeye icyo ugomba gukora.

Nkwiriye gukora iki niba nciweho urugero rwa progestin?

Niba waciweho urugero, urufate ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira rwegereje. Muricyo gihe, reka urugero waciweho ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugirango usubize inyuma urugero waciweho. Niba ufata progestin yo kuboneza urubyaro hanyuma ukabura urugero, ushobora gukenera uburyo bwo kuboneza urubyaro. Vugana n'umuvuzi wawe niba utazi icyo wakora.

Nshobora kureka gufata progestin ryari?

Ugomba kureka gufata progestin gusa ukurikije ubuyobozi bw'umuganga wawe. Guhagarika ako kanya bishobora gutera kuva amaraso cyangwa gusubira mu bimenyetso byawe by'umwimerere. Umuvuzi wawe azagufasha kugabanya buhoro buhoro niba bikwiye.

Igihe cyo gufata imiti ya progestin giterwa n'impamvu uyifata ndetse n'igihe umaze uyikoresha. Uburwayi bumwe na bumwe busaba ko uvurwa igihe kirekire, mu gihe ubundi bushobora gusaba ko uyikoresha igihe gito gusa. Ibiganiro bisanzwe byo gukurikirana bifasha kumenya igihe byemewe guhagarika kuyifata.

Nshobora gufata Progestin nkamara konsa?

Progestin muri rusange ifatwa nk'umutekano mugihe cyo konsa, kandi ingano ntoya zigera mu mata ntizishobora kugirira nabi umwana wawe. Mubyukuri, abaganga bamwe bakunda uburyo bwo kuboneza urubyaro bwa progestin gusa kubagore bonsa.

Ariko, progestin irashobora kugabanya gake umusaruro w'amata kubagore bamwe, cyane cyane muminsi mike nyuma yo kubyara. Umuganga wawe azagereranya inyungu n'ingaruka zishobora kuba ku konsa mugihe atanga inama.